ArticleInternational journal of environmental research and public health2017
The Development of Psychiatric Services Providing an Alternative to Full-Time Hospitalization Is Associated with Shorter Length of Stay in French Public Psychiatry.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- [Staffing levels and patient-related outcomes : Systematic literature review on international evidence].Der Nervenarzt · 2019Pooled it
- Metabolic syndrome and its components are associated with lengths of stay in a psychiatric hospital: Results from a Swiss psychiatric cohort and first-episode psychosis patients.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Hospitalizations with post-traumatic stress disorder in France between 2013 and 2022: a nationwide retrospective study.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Predictors of the length of stay in psychiatric inpatient units: a retrospective study for the Paris Psychiatry Hospital Group.Frontiers in psychiatry · 2024Article
- Measuring hospital spatial accessibility using the enhanced two-step floating catchment area method to assess the impact of spatial accessibility to hospital and non-hospital care on the length of hospital stay.BMC health services research · 2021Article
- Efficiency of fine scale and spatial regression in modelling associations between healthcare service spatial accessibility and their utilization.International journal of health geographics · 2021Article
- Efficacy of home treatment of patients with mental disorders - a research review.Postepy psychiatrii neurologii · 2021Review
- Retrospective Analysis of Factors Associated with Long-Stay Hospitalizations in an Acute Psychiatric Ward.Risk management and healthcare policy · 2020Article
- Do Home-Based Psychiatric Services for Patients in Medico-Social Institutions Reduce Hospitalizations? Pre-Post Evaluation of a French Psychiatric Mobile Team.The Psychiatric quarterly · 2019Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
International recommendations for mental health care have advocated for a reduction in the length of stay (LOS) in full-time hospitalization and the development of alternatives to full-time hospitalizations (AFTH) could facilitate alignment with those recommendations. Our objective was therefore to assess whether the development of AFTH in French psychiatric sectors was associated with a reduction in the LOS in full-time hospitalization. Using data from the French national discharge database of psychiatric care, we computed the LOS of patients admitted for full-time hospitalization. The level of development of AFTH was estimated by the share of human resources allocated to those alternatives in the hospital enrolling the staff of each sector. Multi-level modelling was carried out to adjust the analysis on other factors potentially associated with the LOS (patients', psychiatric sectors' and environmental characteristics). We observed considerable variations in the LOS between sectors. Although the majority of these variations resulted from patients' characteristics, a significant negative association was found between the LOS and the development of AFTH, after adjusting for other factors. Our results provide first evidence of the impact of the development of AFTH on mental health care and will provide a lever for policy makers to further develop these alternatives.
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